Elizabeth Barrett-Connor, MD; Kay-Tee Khaw, MBB Chir
Study Objective: To determine whether cigarette smoking is associated with central obesity in men and women.
Design: A cross-sectional survey.
Setting: A geographically defined population of older white adults.
Participants: Men (836) and women (1112) ages 50 to 79.
Measurements and Main Results: Waist-hip circumference ratio and body mass index (weight in kg/height in m2) were measured in participants wearing light clothing without shoes. Past and current cigarette smoking habits were ascertained by a standard self-administered questionnaire. Cigarette smokers had higher waist-hip ratios than nonsmokers. We observed a dose-response relation of increasing waist-hip ratio with increasing number of cigarettes smoked. Although smokers were leaner than nonsmokers, the increased waist-hip ratio in smokers was independent of body mass index and was consistent within body-mass index tertiles. The associations, seen in both sexes, were stronger in women.
Conclusions: Cigarette smokers have more central obesity than nonsmokers. These results suggest that body fat distribution can be modified by behavioral factors such as smoking.
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Barrett-Connor E, Khaw K. Cigarette Smoking and Increased Central Adiposity. Ann Intern Med. 1989;111:783–787. doi: 10.7326/0003-4819-111-10-783
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Published: Ann Intern Med. 1989;111(10):783-787.
Cardiology, Coronary Risk Factors, Obesity, Smoking, Tobacco, Alcohol, and Other Substance Abuse.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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